Abstract
The present study aimed to assess (1) the amount of inpatient and day clinic DBT treatment places for patients with borderline personality disorder and (2) the relationship between supply and demand in a given study region. Survey of inpatient and day clinic facilities in the German DBT network. 42 inpatient units and day clinics responded, representing 75 % of the DBT network members contacted. These institutions offer 527 DBT treatment places and treat about 2310 patients per year. The mean waiting period prior to treatment was 14.3 weeks. 700 DBT inpatient or day clinic places exist in Germany in 2011. 3000 patients receive DBT inpatient or day clinic treatment per year. This approximates a ratio of 820 borderline patients for one existing DBT inpatient or day clinic place in Germany. The long waiting time reflects the great demand for this treatment and could be interpreted as an imbalance between supply and demand.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Bateman, A., & Fonagy, P. (1999). Effectiveness of partial hospitalization in the treatment of borderline personality disorder: A randomized controlled trial. American Journal of Psychiatry, 156(10), 1563–1569.
Bateman, A., & Fonagy, P. (2001). Treatment of borderline personality disorder with psychoanalytically oriented partial hospitalization: An 18-month follow-up. American Journal of Psychiatry, 158(1), 36–42.
Bateman, A., & Fonagy, P. (2010). Mentalization based treatment for borderline personality disorder. World Psychiatry, 9(1), 11–15.
Bohus, M. (2007). Zur Versorgungssituation von Borderline-Patienten in Deutschland. Persönlichkeitsstörungen Theorie Therapie, 11, 149–153.
Bohus, M., & Kröger, C. (2011). Psychopathologie und Psychotherapie der Borderline-Persönlichkeitsstörung: Zum gegenwärtigen Stand der Forschung. Der Nervenarzt, 82(1), 16–24.
Coid, J., Yang, M., Tyrer, P., Roberts, A., & Ullrich, S. (2006). Prevalence and correlates of personality disorder in Great Britain. British Journal of Psychiatry, 188, 423–431.
Dachverband, D. B. T. (2011). Behandlungsangebote in Deutschland, Österreich und in der Schweiz. http://www.dachverband-dbt.de/index.php
Giesen-Bloo, J., van Dyck, R., Spinhoven, P., van Tilburg, W., Dirksen, C., van Asselt, T., et al. (2006). Outpatient psychotherapy for borderline personality disorder: Randomized trial of schema-focused therapy vs transference-focused psychotherapy. Archives of General Psychiatry, 63(6), 649–658.
Jobst, A., Hörtz, S., Birkhofer, A., Martius, P., & Rentrop, M. (2010). Einstellung von Psychotherapeuten gegenüber der Behandlungs von Patienten mit Borderline-Persönlichkeitsstörung. Psychotherapie, Psychosomatik, Medizinische Psychologie, 60(30/4), 126–131.
Kernberg, O. F. (1981). Treatment technics in borderline personality disorders. Psyche (Stuttg), 35(6), 497–526.
Kernberg, O. F., Yeomans, F. E., Clarkin, J. F., & Levy, K. N. (2008). Transference focused psychotherapy: Overview and update. International Journal of Psychoanalysis, 89(3), 601–620.
Lieb, K., Zanarini, M. C., Schmahl, C., Linehan, M. M., & Bohus, M. (2004). Borderline personality disorder. Lancet, 364(9432), 453–461.
Linehan, M. M. (1993). Dialectical behavior therapy for treatment of borderline personality disorder: Implications for the treatment of substance abuse. NIDA Research Monograph, 137, 201–216.
Linehan, M. M., Armstrong, H. E., Suarez, A., Allmon, D., & Heard, H. L. (1991). Cognitive-behavioral treatment of chronically parasuicidal borderline patients. Archives of General Psychiatry, 48(12), 1060–1064.
Linehan, M. M., Comtois, K. A., Murray, A. M., Brown, M. Z., Gallop, R. J., Heard, H. L., et al. (2006). Two-year randomized controlled trial and follow-up of dialectical behavior therapy vs therapy by experts for suicidal behaviors and borderline personality disorder. Archives of General Psychiatry, 63(7), 757–766.
Oldham, J. M. (2006). Borderline personality disorder and suicidality. American Journal of Psychiatry, 163(1), 20–26.
Richter, C., Heinemann, B., Kehn, M., & Steinacher, B. (2013). Effectiveness of Dialectical Behavior Therapy (DBT) in an outpatient clinic for borderline personality disorders—Impact of medication use and treatment costs. Psychiatrische Praxis, 41(3), 148–152.
Samuels, J., Eaton, W. W., Bienvenu, O. J, 3rd, Brown, C. H., Costa, P. T, Jr, & Nestadt, G. (2002). Prevalence and correlates of personality disorders in a community sample. British Journal of Psychiatry, 180, 536–542.
Torgersen, S., Kringlen, E., & Cramer, V. (2001). The prevalence of personality disorders in a community sample. Archives of General Psychiatry, 58(6), 590–596.
van Asselt, A. D., Dirksen, C. D., Arntz, A., & Severens, J. L. (2007). The cost of borderline personality disorder: Societal cost of illness in BPD-patients. European Psychiatry, 22(6), 354–361.
Wagner, T., Roepke, S., Marschall, P., Stiglmayr, C., Renneberg, B., Gieb, D., et al. (2014). Societal cost-of-illness in patients with borderline personality disorder one year before, during and after dialectical behavior therapy in routine outpatient care. Behaviour Research and Therapy, 61(10), 12–22.
Zanarini, M. C., Frankenburg, F. R., Dubo, E. D., Sickel, A. E., Trikha, A., Levin, A., et al. (1998). Axis I comorbidity of borderline personality disorder. American Journal of Psychiatry, 155(12), 1733–1739.
Zanarini, M. C., Frankenburg, F. R., Hennen, J., Reich, D. B., & Silk, K. R. (2006). Prediction of the 10-year course of borderline personality disorder. American Journal of Psychiatry, 163(5), 827–832.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Richter, C., Steinacher, B., zum Eschenhoff, A. et al. Psychotherapy of Borderline Personality Disorder: Can the Supply Meet the Demand? A German Nationwide Survey in DBT Inpatient and Day Clinic Treatment Facilities. Community Ment Health J 52, 212–215 (2016). https://doi.org/10.1007/s10597-015-9914-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10597-015-9914-0